VIEWPOINTLast Word on Viewpoint: Emergent phenomena and the secrets of lifePeter T. MacklemPeter T. MacklemPublished Online:01 Jun 2008https://doi.org/10.1152/japplphysiol.90453.2008MoreSectionsPDF (27 KB)Download PDF ToolsExport citationAdd to favoritesGet permissionsTrack citations ShareShare onFacebookTwitterLinkedInEmailWeChat to the editor: What a wealth of stimulating viewpoints these letters (2, 3) provide! The approaches they describe to gain a deep understanding of life include: understanding of how complex systems self-organize to best absorb the energy gradients to which they are exposed; quantum field theory; a neat idea that a potential physical law governing the asymmetry between order and disorder is waiting to be discovered; use of non-linear dynamics to make the abstract chaotic nature of life concrete and definite; understanding of how optimization of entropy production is achieved; even Oriental transcendentalism. Different ways of analyzing a complex phenomenon is surely the best approach to gain comprehensive knowledge. But we must heed Similowski's (2) warning: unless we all talk the same language and are familiar with each others tools and concepts we will generate confusion and heat rather than light and understanding.Yates (2) states that there are many secrets of life, and implies that “The Secret” sits unknown at the core. But I claim, based on present knowledge, that understanding heritable characteristics, how order is achieved in open thermodynamic systems and how Darwinian evolution has designed extant, as opposed to extinct life, is the core of what life is. If we understand these three secrets and apply our research to solving the three great and universal problems listed by Fredberg (2), new theories of disease and how to treat them should be a crowning achievement of the new “emergency” medicine.Understanding life is the responsibility of the biologist, and the physician. It is their raison d'etre. Yet because life obeys the laws of physics, the involvement of physicists is welcome and necessary. But immediately problems of concepts and communication arise, leading to the discomfort described by Fredberg. To the biologist and physician it is self-evident that the future is governed by uncertainty and that time, often of the essence in treating the sick, is irreversible. Both irreversible time and uncertainty are incorporated in the Second Law, which is the reason we welcome it and perhaps why physicists do not. But my (almost nonexistent) understanding of quantum mechanics is that its uncertainties require statistical mechanics to quantify probabilities. If so, even if quantum field theory explains life, we must cope with uncertainty, and the certainties of great theories of physics do not help. For us God does play dice with the world, at least for the time being.REFERENCES1 Macklem PT. Viewpoint: Emergent phenomena and the secrets of life. J Appl Physiol; doi: 10.1152/japplphysiol.00942.2007.Link | ISI | Google Scholar2 Robbins PA, Suki B, Fredberg JJ, Yates FE, Bates JHT, Similowski T, Straus C, Fiamma M-N, Glass L, Seely AJE. Commentaries on Viewpoint: Emergent phenomena and the secrets of life. J Appl Physiol; doi: 10.1152/japplphysiol.zdg-7945-vpcomm.2008.Link | ISI | Google Scholar3 Stephens NL. Commentary on Viewpoint: Emergent phenomena and the secrets of life. J Appl Physiol; doi: 10.1152/japplphysiol.90387.2008.Link | ISI | Google ScholarAUTHOR NOTESAddress for reprint requests and other correspondence: P. T. Macklem, PO Box 250, Landsdowne, Ontario, Canada K0E 1L0 (e-mail: [email protected]) Download PDF Previous Back to Top Next FiguresReferencesRelatedInformation More from this issue > Volume 104Issue 6June 2008Pages 1851-1851 Copyright & PermissionsCopyright © 2008 the American Physiological Societyhttps://doi.org/10.1152/japplphysiol.90453.2008History Published online 1 June 2008 Published in print 1 June 2008 Metrics